2型糖尿病心脏自主神经病变的中医药研究进展

Research progress of traditional Chinese medicine on cardiac autonomic neuropathy in type 2 diabetes mellitus

自主神经病变是糖尿病(diabetes)最常见的并发症之一,尤其是心血管自主神经病变。糖尿病心脏自主神经病变(diabetic cardiac autonomic neuropathy,DCAN)具有隐匿性、渐进性及不典型性等特点,患者可出现恶性心律失常、无症状性心肌缺血或无痛性心肌梗死(painless myocardial infarction),更有甚者出现心源性猝死。中医药可较好地缓解疾病症状,且不良反应少。本文针对中医药对2型糖尿病心脏自主神经病变的治疗进展作一综述。

Diabetic autonomic neuropathy is one of the most common complications of diabetes,especially cardiovascular autonomic neuropathy.Diabetic cardiac autonomic neuropathy is characterized by occult,progressivity and atypicality,which is easy to be ignored by clinicians and patients.Malignant arrhythmia,asymptomatic myocardial ischemia,painless myocardial infarction and even sudden cardiac death may occur.Traditional Chinese medicine can relieve symptoms well with fewer adverse reactions,which can be used as a means to complement western medicine.This paper reviewed the treatment progress on diabetic cardiac autonomic neuropathy in traditional Chinese medicine.